Migraine co-existing tension-type headache and neck pain: Validation of questionnaires

2015 ◽  
Vol 8 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Lotte Skytte Krøll ◽  
Catharina Sjödahl Hammarlund ◽  
Rigmor Højland Jensen ◽  
Gunvor Gard
Keyword(s):  
Neck Pain ◽  
Content Validity ◽  
Tension Type Headache ◽  
Face Validity ◽  
Life Questionnaire ◽  
End Points ◽  
Group Interviews ◽  
Type Headache ◽  
The Impact ◽  
Headache And Neck Pain

AabstractBackground and aimMigraine often includes co-existing tension-type headache (TTH) and neck pain (NP). Multiple headache questionnaires assessing headache impact have beendescribed previously; however, none of the existing questionnaires have been designed to cover migraine with co-existing TTH and NP. Therefore a new questionnaire was developed to measure these co-morbidities. The aim was to determine face and content validity of the newly developed questionnaire, “Impact of Migraine, Tension-Type Headache and Neck Pain” (impact M-TTH-NP) and to determine face and content validity of the International Physical Activity Questionnaire (IPAQ short form), Migraine-Specific Quality of Life Questionnaire (MSQ v. 2.1), WHO-Five Well-Being Index (WHO-5), Major Depression Inventory (MDI) and Neck Disability Index (NDI) not yet validated in this target population.Material and methodsThe new multi-dimensional questionnaire “Impact M-TTH-NP” cover pain, triggers, psychosocial, socioeconomic and work related aspects, based on a four-week recall period. The items are rated on an 11-point numeric rating scale with the end points 0 = no impact and 10 = most imaginable impact. Face validity was assessed by migraine patients with co-existing TTH and NP. They were recruited between September 2012 and March 2013 from a tertiary referral headache centre. Nine women with a mean age of 38 years participated in group interviews. The questionnaires were reviewed for relevance and meaningfulness. Content validity was assessed by 13 headache experts. They had worked with headache diseases for an average of 9 (range, 2–38) years. Experts were recruited between August 2012 and October 2012. Nine medical doctors, two physical therapists, one headache nurse and one psychologist (eight women and five men, mean age of 42 years) participated. The experts rated each item of the questionnaires using a four-point Likert scale with the end points 1 = not relevant and 4 = highly relevant. The quantitative measurement of content validity was calculated by the item-level content validity index (I-CVI) and the scale-level content validity average method (S-CVI/Ave). The average deviation (AD) index was used as a measure of interrater agreement.ResultsImpact M-TTH-NP showed acceptable face validity. Of 78 items twelve were revised and one was added based on group interviews and expert review. Seventy-two items (92%) obtained I-CVI≥0.78 (range 0.78–1.00) indicating excellent content validity, 71 items (91%) obtained acceptable AD index. Nine items did not meet either the limit for excellent I-CVI and/or acceptable AD index. The overall S-CVI/Ave was 0.92 indicating an excellent content validity. In addition, four of the five additional questionnaires showed acceptable face validity (MSQ, WHO-5, MDI and NDI) and three showed excellent content validity (WHO-5, MDI and NDI) for patients suffering from migraine and co-existing TTH and NP.Conclusions and implicationsThe impact M-TTH-NP questionnaire showed acceptable face validity and excellent content validity and may be useful when evaluating treatment effect in this target group. The new impact M-TTH-NP questionnaire in combination with the additional questionnaires that together assess pain, triggers, psychosocial and socioeconomic aspects may provide a deeper understanding of the complexity of migraine with co-existing TTH and NP

scholarly journals Level of physical activity, well-being, stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Lotte Skytte Krøll ◽  
Catharina Sjödahl Hammarlund ◽  
Maria Lurenda Westergaard ◽  
Trine Nielsen ◽  
Louise Bönsdorff Sloth ◽  
...  
Keyword(s):  
Physical Activity ◽  
Neck Pain ◽  
Well Being ◽  
Tension Type Headache ◽  
Self Rated Health ◽  
Type Headache ◽  
Headache And Neck Pain

The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain. A randomized, controlled, clinical trial

Cephalalgia ◽  
2018 ◽  
Vol 38 (12) ◽  
pp. 1805-1816 ◽  
Author(s):  
Lotte Skytte Krøll ◽  
Catharina Sjödahl Hammarlund ◽  
Mattias Linde ◽  
Gunvor Gard ◽  
Rigmor Højland Jensen
Keyword(s):  
Physical Activity ◽  
Neck Pain ◽  
Physical Fitness ◽  
Aerobic Exercise ◽  
Pain Intensity ◽  
Well Being ◽  
Exercise Group ◽  
Tension Type Headache ◽  
Type Headache ◽  
Headache And Neck Pain

Aim To evaluate aerobic exercise in migraine and co-existing tension-type headache and neck pain. Methods Consecutively recruited persons with migraine and co-existing tension-type headache and neck pain were randomized into an exercise group or control group. Aerobic exercise consisted of bike/cross-trainer/brisk walking for 45 minutes, three times/week. Controls continued usual daily activities. Pain frequency, intensity, and duration; physical fitness, level of physical activity, well-being and ability to engage in daily activities were assessed at baseline, after treatment and at follow-up. Results Fifty-two persons completed the study. Significant between-group improvements for the exercise group were found for physical fitness, level of physical activity, migraine burden and the ability to engage in physical activity because of reduced impact of tension-type headache and neck pain. Within the exercise group, significant reduction was found for migraine frequency, pain intensity and duration, neck pain intensity, and burden of migraine; an increase in physical fitness and well-being. Conclusions Exercise significantly reduced the burden of migraine and the ability to engage in physical activity because of reduced impact of tension-type headache and neck pain. Exercise also reduced migraine frequency, pain intensity and duration, although this was not significant compared to controls. These results emphasize the importance of regular aerobic exercise for reduction of migraine burden.

scholarly journals Validation of a clinical examination to differentiate a cervicogenic source of headache: a diagnostic prediction model using controlled diagnostic blocks

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035245 ◽  
Author(s):  
Scott L Getsoian ◽  
Surendra M Gulati ◽  
Ikenna Okpareke ◽  
Robert J Nee ◽  
Gwendolen A Jull
Keyword(s):  
Neck Pain ◽  
Clinical Examination ◽  
Model Building ◽  
Clinical Signs ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Local Source ◽  
Diagnostic Model ◽  
Convenience Sample ◽  
Headache And Neck Pain

ObjectivesNeck pain commonly accompanies recurrent headaches such as migraine, tension-type and cervicogenic headache. Neck pain may be part of the headache symptom complex or a local source. Patients commonly seek neck treatment to alleviate headache, but this is only indicated when cervical musculoskeletal dysfunction is the source of pain. Clinical presentation of reduced cervical extension, painful cervical joint dysfunction and impaired muscle function collectively has been shown to identify cervicogenic headache among patients with recurrent headaches. The pattern’s validity has not been tested against the ‘gold standard’ of controlled diagnostic blocks. This study assessed the validity of this pattern of cervical musculoskeletal signs to identify a cervical source of headache and neck pain, against controlled diagnostic blocks, in patients with headache and neck pain.DesignProspective concurrent validity study that employed a diagnostic model building approach to analysis.SettingHospital-based multidisciplinary outpatient clinic in Joliet, Illinois.ParticipantsA convenience sample of participants who presented to a headache clinic with recurrent headaches associated with neck pain. Sixty participants were enrolled and thirty were included in the analysis.Outcome measuresParticipants underwent a clinical examination consisting of relevant tests of cervical musculoskeletal dysfunction. Controlled diagnostic blocks of C2/C3–C3/C4 established a cervical source of neck pain. Penalised logistic regression identified clinical signs to be included in a diagnostic model that best predicted participants’ responses to diagnostic blocks.ResultsTen of thirty participants responded to diagnostic blocks. The full pattern of cervical musculoskeletal signs best predicted participants’ responses (expected prediction error = 0.57) and accounted for 65% of the variance in responses.ConclusionsThis study confirmed the validity of the musculoskeletal pattern to identify a cervical source of headache and neck pain. Adopting this criterion pattern may strengthen cervicogenic headache diagnosis and inform differential diagnosis of neck pain accompanying migraine and tension-type headache.

scholarly journals A cross-sectional study of pain severity in patients suffering from different types of primary headache in the hospital setting

2020 ◽  
Vol 8 (5) ◽  
pp. 1740
Author(s):  
Sanjay Prasad ◽  
Abhay Paliwal ◽  
Ram Ghulam Razdan
Keyword(s):  
Primary Headache ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Pain Severity ◽  
Sectional Study ◽  
Headache Disorders ◽  
Cross Sectional ◽  
Different Types ◽  
Type Headache ◽  
The Impact

Background: Primary headache disorders including migraine and tension-type headache (TTH) are of great importance to global public health due to its high prevalence, but very few studies have been conducted to know its prevalence and pain severity of different types of primary headache. Aim of this study was to investigate the subtypes and pain severity of different types of primary headache in hospital setting.Methods: This study is a cross-sectional study with 200 sample size. Includes patients with Primary headache in department of Psychiatry, MGMMC, Indore. Patient aged between 18-65 years, both gender. Diagnosis of headache was done clinically in accordance with International Classification of Headache disorders (ICHD- 3). Semi-structured headache questionnaire, Comparative pain scale were used for assessment of samples.Results: Among 200 patients, Tension type headache was 73.5%, Migraine was 22%, Mixed headache was in 4.5% patients. Majority of migraine and mixed headache cases had severe pain at 93.2% & 55.6% respectively. Majority of TTH cases had moderate pain in 42.2% patients.Conclusions: Study has shown assessments of severity of pain, can be used to assess the impact of Primary headache on patient’s quality of life.

A Single Institution’s Experience of Primary Headache in Children With Celiac Disease

2019 ◽  
Vol 35 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Grant L. Hom ◽  
Brian L. Hom ◽  
Barbara Kaplan ◽  
A. David Rothner
Keyword(s):  
Celiac Disease ◽  
Tissue Transglutaminase ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Phone Survey ◽  
Type Headache ◽  
The Impact ◽  
Histologic Changes

Background: Few studies exist examining the frequency of primary headache in children with celiac disease and the impact of a gluten-free diet on primary headache symptomology. This study explores characteristics and frequency of headaches in children with celiac disease and response to gluten-free diet at a single institution. Methods: Medical records were reviewed for children with celiac disease confirmed by the presence of elevated tissue transglutaminase IgA levels and histologic changes consistent with the diagnosis of celiac disease on small bowel biopsy. Eligible participants were contacted via letter for participation in a phone survey regarding headaches. Phone interviews were conducted 2 weeks after notification and lasted approximately 10 minutes. Headaches were classified according to ICHD-3 criteria. Results: 247 eligible patients or their families were contacted. A total of 132 (53.44%) agreed to participate. One participant was excluded due to insufficient information provided. Overall, 51 of 131 participants had recurrent headache defined as at least 1 episode per month (39%, 95% confidence interval [CI]: 31%-47%) and 33 had migraine with or without aura (25%, 95% CI: 18%-33%). Twenty-eight had frequent tension-type headache (22%, 95% CI: 15%-29%). Thirty-two participants noted headaches before a confirmed diagnosis of celiac disease. Twenty-two of 32 participants (68.75%) noticed decreased headache frequency or intensity, or both, after starting the gluten-free diet. Conclusion: This study suggests that at least one-third of children and adolescents with celiac disease have recurrent headaches at the time of diagnosis. A gluten-free diet led to improved headache symptomology in a significant number of these patients.

Opposite-Sex Relationship Questionnaire for Male Adolescents: Development and Psychometric Evaluation

2018 ◽  
Vol 9 ◽  
Author(s):  
Nasim Bahrami ◽  
Masoumeh Sibmar ◽  
AbouAli Vedadhir ◽  
Hamid Alavi Majd ◽  
Averil Parker
Keyword(s):  
Content Validity ◽  
Psychometric Evaluation ◽  
Peer Pressure ◽  
Face Validity ◽  
Male Adolescents ◽  
Family Attitudes ◽  
Opposite Sex ◽  
Coefficient Omega ◽  
The Impact ◽  
Qualitative Phase

We used a mixed-methods, sequential, exploratory design. In the qualitative phase, an in-depth interview approach was used to identify the properties and dimensions to be included in the Opposite-Sex Relationship Questionnaire for Male Adolescents (OSRQMA). In the quantitative phase, the psychometric properties of the OSRQMA were evaluated according to the concepts of face, content, and construct validity. Reliability and stability were assessed with Cronbach's alpha (α) and McDonald's coefficient omega (ω), and with test–retest analysis respectively. A preliminary questionnaire was developed, including 61 items that emerged from the qualitative phase of the study. Based on the impact scores for face validity, and the cutoff points for the content validity ratio (CVR) and content validity index (CVI), the preliminary questionnaire was reduced to 53 items. The Kaiser criteria (eigenvalues >1) and scree plot tests demonstrated that 22 items forming four factors, which were labelled ‘innate predilection’, ‘abstinence’, ‘family attitudes’, and ‘peer pressure’, were optimum, accounting for an estimated 53.449% of the variance. These scales had acceptable levels of internal consistency (α = .854, ω = 0.977) and stability (r = .892, p < .001).

scholarly journals Self-reported neck pain is associated with migraine but not with tension-type headache in adolescents

Cephalalgia ◽  
2014 ◽  
Vol 34 (11) ◽  
pp. 895-903 ◽  
Author(s):  
Astrid Blaschek ◽  
Siona Decke ◽  
Lucia Albers ◽  
Andreas Sebastian Schroeder ◽  
Steffi Lehmann ◽  
...  
Keyword(s):  
Neck Pain ◽  
Neck Region ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Tension Type Headache ◽  
Descending Inhibition ◽  
School Students ◽  
Sensory Afferents ◽  
Cross Sectional ◽  
Type Headache

Aim The aim of the present analysis is to confirm or refute the association of neck pain to migraine or tension-type headache and to assess whether this association is independent of other risk factors for headache. Methods Secondary school students were invited to complete a questionnaire on headache and lifestyle factors in a cross-sectional study. Neck pain was assessed via (a) a screening question concerning neck pain and (b) denoting affected areas in schematic drawings of the human body. Results Absolute increment in prevalence of headache with pain in the shoulder-neck region was between 7.5% and 9.6%. Gender, grade, stress and lifestyle factors were assessed as potential confounding factors. Nearly all factors were associated with shoulder-neck pain and most with headache. After adjustment for confounders, the association of neck pain with headache was almost completely confined to migraine (OR 2.39; 95% CI 1.48–3.85) and migraine + tension-type headache (OR 2.12; 95% CI 1.50–2.99), whereas the association with isolated tension-type headache was negligible (OR 1.22, 95% CI 0.87–1.69). Conclusion Neck pain is associated with migraine but not with tension-type headache. A possible link between migraine and neck pain may be the cervico-trigeminal convergence of neck and meningeal sensory afferents or a disturbed descending inhibition in migraine.

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